D7871

Non-Arthroscopic Lysis and Lavage - CDT Code Guide

Oral & Maxillofacial Surgery/Reduction of Dislocation and Management of Other Temporomandibular Joint Dysfunctions

Overview

CDT Code D7871 refers to a non-arthroscopic lysis and lavage procedure, primarily used in the management of temporomandibular joint (TMJ) dysfunctions. This procedure involves the insertion of inflow and outflow catheters into the joint space to facilitate lavage. The joint is then manipulated to release minor adhesions and alleviate the synovial vacuum phenomenon. Additionally, this process helps in removing inflammatory products from the joint space, providing relief from pain and improving joint function. Typically, this procedure is indicated for patients experiencing TMJ pain due to minor adhesions or inflammation that do not respond to conservative treatments.

When to Use This Code

  • Patients with TMJ pain unresponsive to conservative treatments
  • Cases of synovial vacuum phenomenon in the TMJ
  • Presence of minor adhesions in the TMJ
  • Inflammatory conditions within the TMJ
  • Pre-surgical evaluation for TMJ disorders

Documentation Requirements

  • Detailed patient history and examination notes
  • Radiographic evidence supporting TMJ dysfunction
  • Clinical notes on previous conservative treatments attempted
  • Informed consent documentation
  • Operative report detailing the procedure
  • Post-operative care instructions and follow-up plan

Billing Considerations

When billing for D7871, it's important to check for frequency limitations as some insurance plans may restrict the number of times this procedure can be performed within a certain period. Common modifiers like -50 for bilateral procedures may apply. Ensure to verify coverage with the patient's insurance provider as TMJ treatments can have varied coverage policies.

Related CDT Codes

Frequently Asked Questions

Coverage for D7871 varies by insurance provider. It's important to verify with the specific insurance plan as TMJ treatments often have specific coverage criteria.

Source: CDT 2023 © American Dental Association

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